Itching for some patients becomes a real problem, which is very difficult to get rid of. Doctors of all specialties face skin itching, because the causes of skin itching are often hidden in diseases of various organs and systems. Read more about causes and types of itching in our previous article. In addition to identifying the causes of itchy skin, the treatment of itchy skin is a big problem. Therapy of pruritus consists of the use of drug treatment, physiotherapy and diet therapy. Read more about the treatment of itchy skin on estet-portal.com.
Diagnostic process before treatment of skin pruritus
When prescribing drugs, their side effects must be taken into account. The use of some antibacterial, sulfanilamide, morphine-like drugs, analgesics leads to sensitization, the development of allergic reactions and the formation of itching. Taking certain foods (tomatoes, spices, wine, coffee, Coca-Cola, etc.) can also provoke the development of itchy skin. How to eat for patients in the treatment of skin itching, find out further on estet-portal.com. When diagnosing, it is necessary to carefully study the complaints, anamnesis of life, as well as an anamnesis of the disease of patients suffering from skin itching.
Examination of the patient before treatment of skin pruritus:
- using screening methods to determine the level of glucose in the blood;
- performing a glucose tolerance test;
- detect levels of cholesterol, bilirubin, urea, uric acid, creatinine, iron;
- take a stool test for the presence of helminths,diagnose dysbacteriosis;
- then the patients undergo an in-depth instrumental examination and are referred for consultations to specialists.
What kind of diet should be followed when treating itchy skin?
Due to severe dysfunction of the gastrointestinal tract, timely and adequately prescribed diet therapy in most cases contributes to achieving remission or complete recovery. A hypoallergenic diet in the treatment of skin itching provides for the exclusion of products that can cause and provoke the development or exacerbation of skin itching.
Foods containing dyes, preservatives, emulsifiers, as well as egg white, strong meat broths, fried foods, spices, fish, caviar, cheeses, coffee, honey, chocolate, citrus fruits, alcohol, Coca-Cola are excluded from the diet of patients , tomatoes.
The diet includes easily digestible, high-calorie cereals (from oatmeal, buckwheat, pearl barley), fermented milk products, boiled vegetables and meat. Recommended diets for the treatment of skin itching should be optimal in terms of protein and vitamins and drawn up in close cooperation with a nutritionist.
What medications are used to treat itchy skin with medication?
Due to the presence of pronounced neurotic reactions, sedative drugs are prescribed. Herbal preparations have a mild sedative effect — tincture of peony, motherwort, valerian root, novo passit. For the treatment of itching of the skin, antidepressants are used — amitriptyline inside 0.025 - 0.05 g; nialamide inside 0.025—0.01.
Of the tranquilizers, diazepam is prescribed 0.005—0.015 per day, lorazepam 0.001—0.0025 g per day. Prescription of antihistamines is due to the high level of histamine in the tissues and its important role in the mechanism of pruritus.
For the treatment of skin itching, it is advisable to prescribe second-generation antihistamines, which are more effective in relieving itching, as they reduce anxiety in patients and prevent secondary adrenergic stimulation.
After the treatment, a set of preventive measures is required, which include hygiene procedures, a rational hypoallergenic diet, prevention of the action of endo- and exogenous factors that can cause itching.
Hygiene measures in the treatment of skin itching
In case of itching, it is recommended to wipe the skin with a 3-5% aqueous solution of vinegar, aqueous-alcoholic solutions with 1% salicylic acid, anesthesin, novocaine, menthol, use urotropine-talc powders. With localized itching in the anogenital area, daily washing with cool water in the morning and evening, a rational toilet after defecation, the use of gauze pads — to prevent intestinal mucus from getting on the skin.
In the treatment of skin itching, two or three biodoses of UV are indicated, every other day or daily for 8-13 minutes, up to eight to ten procedures; Ultrasound therapy of the affected area daily or every other day 10 times; underwater shower-massage, water temperature +37°C, jet temperature +45-50°C, duration 5-8 min, daily up to 10 times; CO2 laser therapy — irradiation time 1-2 min, 6-12 min, daily, №10 & ndash;15 acupuncture, as well as phonophoresis with hydrocortisone, Bernard's diadynamic currents, infrared laser.
Only elimination of the cause of itching in combination with complex treatment of skin itching can save the patient from this obsessive state.
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